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Indirect percutaneous core needle biopsy of solid pancreatic or peripancreatic lesions

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Abstract

Solid pancreatic or peripancreatic lesions comprise a heterogeneous group of diseases that rely on a multimodality imaging approach for subsequent tissue procurement. Endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA)/biopsy is an effective and safe method for tissue diagnosis in this region. The failure to obtain adequate tissue for diagnosis under EUS guidance is still a rare but important issue. Percutaneous core needle biopsy (CNB) provides an alternative pathway for adequate specimen acquisition. Because of the deep retroperitoneal location, the percutaneous biopsy of pancreatic or peripancreatic lesions may inevitably pass through visceral organs. The procedure is relatively risky and difficult for general radiologists, particularly beginners, and an adequate knowledge of the abdominal anatomy and biopsy technique is indispensable. In this review, various aspects of percutaneous CNB for solid pancreatic or peripancreatic lesions using different trans-organ approaches are reviewed to increase the chance of successful biopsy.

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Authors and Affiliations

  1. Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, No.7, Chung-Xhan South Road, Taipei, 100, Taiwan

    Po-Ting Chen, Kao-Lang Liu, Chin-Chen Chang & Yeun-Chung Chang

  2. Department of Laboratory Medicine and Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

    Tsu-Yao Cheng

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  1. Po-Ting Chen
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  2. Kao-Lang Liu
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  3. Tsu-Yao Cheng
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  4. Chin-Chen Chang
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  5. Yeun-Chung Chang
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Correspondence to Kao-Lang Liu.

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All authors declared that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Chen, PT., Liu, KL., Cheng, TY. et al. Indirect percutaneous core needle biopsy of solid pancreatic or peripancreatic lesions. Abdom Radiol 44, 292–303 (2019). https://doi.org/10.1007/s00261-018-1690-1

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  • DOI: https://doi.org/10.1007/s00261-018-1690-1

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